| NPI | 1083619647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 16257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305004376) |
| 225100000X Physical Therapist (Licence: DC PT2387) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2010-04-01 |